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Pediatric Obsessive Compulsive Disorder Essay

2302 words - 10 pages

Children with mental health illness’s have recieved insufficent attention particuarly in the the domains of research, practice and funding within health care services. Nevertheless, there has been an greater emphasis placed on psychosocial and pharamogolical treatments that are tailored to children rather than a extension of adult mental health practices (Pyle, Jordan, and Saklofkse, 2009). As many childhood disorders were once believed to to dissipate as children aged, it is essential to acknowledge that these disorders, actually have a large effect on future development (Fichter, Kohlboeck, Quadflieg, Wyschkon and Esser, 2009). As such, knowing the development and stability of ...view middle of the document...

Obsessions are defined as repetitive, and persistant thougts, impulses or images that are instrusive and cause considerable anxiety. For children, obsessions may include fixation with contimation, harm, persistent fear of a ritual not being carried out in the right way and symmetry. Moreover, compulsions are repetitive behaviors or mental acts that stop or decrease anxiety caused by an obsession. Complusions in children are freuquent hand watshing, ordering, checking, or counting (Kalra and Swedo, 2009)
OCD in middle childhood has been found to be a disorder with a high degree of comborbity. Of children dianogsed with OCD 80% meet the DSM cirteria for other mental health disorders including anxiety disorders (26%-75%), depressive disoders, (25-62%) and externalizing disorders (18%-50%) of which include attention deficet diorsder, conduct disorder and oppositional defiant disorder. These disorder have also been shown to continue into adulthood. (Langley, Lewin, Bergman, Lee and Piacentini, 2010) Moreover, the impact of OCD can vary depending on the particular child but has been found to affect academic achievement such as grades in school , participation in school and in extracurricular activities, peer relationships and relationships with family members and dynamics within the home. (Peris and Piacentini, 2014). Quality of life in terms of ones health, may also be impacted as children may not be able to execute everyday tasks that are appropriate for their developmental age while home, school or in social activities. Children often have higher levels of physical and depressive symptoms and have trouble making friends and participating in age related recreational activities due to their ritual behaviors. (Lack et al. 2009)
Stewart, Hezel and Stachon (2012) examine how OCD in middle childhood is highly treatable with two different treatments. These treatments include cognitive behavioral therapy (CBT) and serotonin reuptake inhibitors (SRI) medication. When deciding wether to use CBT, SRI or a combination of both it is imperative to consider the childs particular symptoms. CBT may incporate both individual and family exposure and response prevention (ERP). ERP focuses on a childs anxiety through the exposure to a particular OCD stimuls that serves as a catalyst for the behavior while CBT attempts to modifiies the childs thoughts directly associated with the OC behavior. It is recommended to begin with CBT first before medication due to possible adverse effects. Neverthless, SSRI may be the best optinon for children who have more a more severe case of OCD or are not working with someone who has had expereience in CBT. When using medication with a child, it is important that clinician begin with a low does and increase as time progresses for the appearance of a treatment effect.
In a study by McGuire et al (2012) the need for intervention in middle childhood to prevent symptoms from continuing into adulthood is discussed. They examine...

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